Individual provider · Type 1 NPI

Glen R. Lussier, MD

Military Health Care Provider · Portsmouth, VA

NPI number 1871380873 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1871380873

Glen R. Lussier, MD's National Provider Identifier is 1871380873, issued on Apr 22, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Jun 18, 2025.